TERRACE HOME HEALTH INDEPENDENCE LLC NPI 1306489984

NPI Information

NPI: 1306489984
Provider Name: TERRACE HOME HEALTH INDEPENDENCE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 17D2246225

Address:
4721 S CLIFF AVE STE 211
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 441-0000
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TERRACE HOME HEALTH INDEPENDENCE, LLC is a hospice care community based in Independence, MO. TERRACE HOME HEALTH INDEPENDENCE, LLC NPI is 1306489984. The provider is registered as an organization entity type.

The provider's business location address is:

4721 S CLIFF AVE STE 211
INDEPENDENCE, MO
ZIP 64055-969
Phone: (816) 441-0000

The provider's authorized official is Rory Jay Williams .
The authorized official title is Coo and has the following contact phone number (801) 318-6476.

The CLIA number assigned to this NPI record is 17D2246225 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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